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Relationships with Districts

Relationships with Districts. Scrutiny, December 19 th 2013. Jim McManus , FFPH, CPsychol, Csci, AFBPsS, FRSPH, MCIEH Director of Public Health, Hertfordshire. Systems thinking on wider determinants Getting everyone on the same systems page.

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Relationships with Districts

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  1. Relationships with Districts Scrutiny, December 19th 2013 Jim McManus, FFPH, CPsychol, Csci, AFBPsS, FRSPH, MCIEH Director of Public Health, Hertfordshire

  2. Systems thinking on wider determinantsGetting everyone on the same systems page The wider determinants of Health and Local Government functions (Must adopt a Lifecourse approach!) The Lives people lead and whether LA functions help or hinder healthy lifestyles (policy, service quality, access, behavioural economics, behavioural sciences) The services people access such as primary care (high quality, easy access, good follow up, behavioural and lifestyle pathways wrap around)

  3. Conceptualising the role ofLocal Government in wider determinants Contributors to overall health outcomes Health Behaviours 30% Socioeconomic Factors 40% Clinical Care 20% Built Environment 10% Smoking 10% Education 10% Access to care 10% Environmental Quality 5% Diet/Exercise 10% Employment 10% Quality of care 10% Built Environment 5% Income 10% Alcohol use 5% Poor sexual health 5% Family/Social Support 5% Source: Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute. Used in US to rank counties by health status While this is from a US context it does have significant resonance with UK Evidence, though I would want to increase the contribution of housing to health outcomes from a UK perspective. Community Safety 5%

  4. PH Policy Ethos • Very apparent every council in Herts is already trying to mainstream public health across its business • Consider impact of all they do on health • Local focus with an eye to the Health and Wellbeing Strategy • Develop a plan to deliver this • Opportunity is to build on this

  5. Towards Shared Principles • Public Health might have been designed on a unitary model but we will innovate and succeed in multi-tier areas • The Local Govt Family is a major asset in public health • Parishes/Towns – we need to do more • Counties and Districts cannot do public health without each other. • Three tier areas can do public health with style! • Strong science, strong political leadership, • countywide approach, local focus & engagement

  6. Arrangements Public Health Strategy Support and Cross-referencing with District Strategies Multi Agency Public Health Board Strategy developed with very close working Joint Health Protection Committee

  7. The PH Offer to Districts Information and Analysis – locality profiles Training – RSPH accreditation UKPHR practitioner route E Learning Platform E Books and Journals www.hertsdirect.org/phelearn Public Health Partnerships Fund (£100k) PH Conference Delivery Partnerships

  8. Just some examples of district led work....I could easily do four or more from every district.

  9. Parks

  10. Planning • Obesity in core strategy • Planning approach to Obesity • Children • Adults • Whole System Obesity Pilot for Herts • Sustainable Community Strategy and Core Strategy has Health Ambitions

  11. People 50+ • 50+ Golf Discount Card • Dance Opportunities • Walking for health, fun and fitness • The North Herts 50+ Forum

  12. Alcohol • No More Project • Very Chaotic Users • Signposts and accompanies • Wholistic addressing of problems, food access, housing, benefits, skils.... • Reduces re-offending • Reduces A and E attendance

  13. Whole System Approach • Health Partnerships (Every district) • Health Promotion Dedicated Staff Time/People • Each district has a Strategy • Just four Examples • Bereaved Men (E Herts) • Leisure Access (Welwyn Hatfield) • Young People and Mental Health (St Albans) • Older People, Long term conditions leisure/ decent homes standard (Dacorum)

  14. Strategic Focus • South Oxhey • Area of Significant Deprivation • Joint Working between two councils • Assessment of Need • Development of local strategy • Focus of whole council services • Asian Women Premature Mortality in Watford

  15. Thank you! Jim.mcmanus@hertfordshire.gov.uk Public Health Service Pages http://www.hertsdirect.org/your-council/hcc/publichealth/ Health in Herts Portal http://www.hertsdirect.org/services/healthsoc/healthherts/

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